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A leading healthcare institution in Malaysia seeks a professional to oversee quality improvement and patient safety initiatives. Responsibilities include coordinating clinical data, administering incident reporting, and guiding accreditation standards. The ideal candidate holds a Bachelor’s degree in relevant fields and has at least 3 years of experience. A clinical background is preferred, with strong skills in quality improvement tools and professional English comprehension.
Perform, coordinate & facilitate quality improvement, patient safety activities and clinical effectiveness initiatives to achieve organizational goals. This involves performing the assessment and analysis of operations and processes and working collaboratively with staff and managers to promote, design and implement quality improvements and innovations.
Works to promote quality improvement and innovation and monitor progress towards goals by collecting accurate, timely data to display the quality, cost and service outcome.
Maintains accountability for on-going self-development activities, especially related to presentation facilitation, change management and application of quality improvement activities.
Administer hospital-wide incident reporting, review all incidents to ensure corrective and preventive actions are implemented, incidents are graded and learning is communicated.
Perform investigation of incident using tools such as Root Cause Analysis (RCA) to identify the root causes of the incident and prevent recurrence.
To consolidate reports and to summarize issues and remedial actions that has been carried out. Reports may need to be communicated to relevant Heads.
To be well verse of identifying sentinel event if there is any and report to the superior immediately and conduct full RCA.
Report to MOH for the particular MOH reportable incidents.
Help, lead, guide and advise Head of Department in the requirement of accreditation, standards such as Malaysian Society for Quality in Health (MSQH), Joint Commission International (JCI), The Australian Council on Healthcare Standards (ACHS) and etc.
Provides content knowledge in the interpretation, implementation and maintenance of all accreditation, national quality assurance standards or regulatory standards to match external requirements.
Co-ordinate the captured data and analyses clinical information from a variety of internal and external sources relating to patient safety, utilization of resources, system problems, and other quality functions.
Identifies trends, variances, deficiencies, and problems utilizing aggregated data and information and works with multidisciplinary teams on improvement efforts.
Liaises with respective department heads to deliver quality improvement projects.
Help to promote leadership for creating a culture of patient safety and works across departments to ensure compliance to accreditation standards, International Patient Safety Goals, and promotes Proactive Risk Management activities.